• Journal of the Korean Society of Radiology
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• v.17 no.6
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• pp.897-902
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• 2023

The purpose of this paper is to analyze the characteristics of Silicon Photomultiplier (SiPM) for the realization of high-sensitivity radiation detection in portable detectors. Portable X-ray detectors offer the advantage of quickly accessing the patient's location and obtaining real-time images, allowing physicians to perform rapid diagnoses. However, this mobility comes with challenges in achieving accurate radiation detection. In existing detectors, SiPM is used for a simple purpose of detecting X-ray triggers. To verify the feasibility of high-sensitivity X-ray detection through SiPM, seven types of SiPM sensors were compared and selected, and their characteristics were analyzed. The SiPM used in the final test demonstrated the ability to distinguish signals at the ultra-low radiation level of 10 nGy, and it was observed that the slope of the signal rise curve varies with the X-ray tube voltage. Utilizing the characteristics of SiPM, which exhibits changes in signal level and duration with X-ray dose, it appears possible to achieve high-sensitivity measurements for X-ray detection.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.37 no.3
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• pp.179-186
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• 2024

In this paper, a modification coefficient for equivalent single degree of freedom (SDOF), considering the plasticity range of the member subjected to shock wave type of blast load, was developed. The modification coefficient for the equivalent SDOF was determined through comparison with the analysis of a multi-degree of freedom (MDOF) system. The parameters influencing the equivalent SDOF system analysis were chosen as the boundary conditions of the member and the ratio of the duration of blast load to the natural period of the member. The modification coefficient was calculated based on the elastic load-mass transformation factor. The modification coefficient curve was derived using an elliptical equation to ensure it exists between the upper and lower parameter bounds. Using the modification coefficient on examples with varying cross sections and boundary conditions reduced the SDOF analysis error rate from 15% to 3%. This study shows that using the modification coefficient significantly improves the accuracy of SDOF analysis. The modification coefficient proposed in this study can be used for blast analysis.

• Korean Circulation Journal
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• v.53 no.5
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• pp.331-343
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• 2023

Background and Objectives: The prognostic implication of right atrial (RA) and left atrial (LA) size for an immediate success of direct current cardioversion (DCCV) in atrial fibrillation (AF) remains unclear. This study aimed to compare RA and LA size for the prediction of DCCV success. Methods: Between 2012 and 2018, 734 consecutive outpatients were screened for our prospective registry. Each eligible patient received a medical history, blood analysis, and transthoracic echocardiography with a focus on indexed RA (iRA) area and LA volume (iLAV) prior to DCCV with up to three biphasic shocks (200-300-360 J) or additional administration of amiodarone or flecainide to restore sinus rhythm. Results: We enrolled 589 patients, and DCCV was in 89% (n=523) successful. Mean age was 68 ± 10 years, and 40% (n=234) had New York heart association class >II. A prevalence of the male sex (64%, n=376) and of persistent AF (86%, n=505) was observed. Although DCCV success was associated with female sex (odds ratio [OR], 1.88; 95% confidence interval [CI], 1.06-3.65), with absence of coronary heart disease and normal left ventricular function (OR, 2.24; 95% CI, 1.26-4.25), with short AF duration (OR, 1.93; 95% CI, 1.05-4.04) in univariable regression, only iRA area remained a stable and independent predictor of DCCV success (OR, 0.27; 95% CI, 0.12-0.69; area under the curve 0.71), but not iLAV size (OR, 1.16; 95% CI, 1.05-1.56) in multivariable analysis. Conclusions: iRA area is superior to iLAV for the prediction of immediate DCCV success in AF.

• Korean Journal of Radiology
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• v.24 no.8
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• pp.784-794
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• 2023

Objective: To determine whether dynamic susceptibility contrast-enhanced (DSC) perfusion magnetic resonance imaging (MRI) can be used to evaluate posterior cerebral circulation in pediatric patients with moyamoya disease (MMD) who underwent anterior revascularization. Materials and Methods: This study retrospectively included 73 patients with MMD who underwent DSC perfusion MRI (age, 12.2 ± 6.1 years) between January 2016 and December 2020, owing to recent-onset clinical symptoms during the follow-up period after completion of anterior revascularization. DSC perfusion images were analyzed using a dedicated software package (NordicICE; Nordic NeuroLab) for the middle cerebral artery (MCA), posterior cerebral artery (PCA), and posterior border zone between the two regions (PCA-MCA). Patients were divided into two groups; the PCA stenosis group included 30 patients with newly confirmed PCA involvement, while the no PCA stenosis group included 43 patients without PCA involvement. The relationship between DSC perfusion parameters and PCA stenosis, as well as the performance of the parameters in discriminating between groups, were analyzed. Results: In the PCA stenosis group, the mean follow-up duration was 5.3 years after anterior revascularization, and visual disturbances were a common symptom. Normalized cerebral blood volume was increased, and both the normalized time-topeak (nTTP) and mean transit time values were significantly delayed in the PCA stenosis group compared with those in the no PCA stenosis group in the PCA and PCA-MCA border zones. TTP_PCA (odds ratio [OR] = 6.745; 95% confidence interval [CI] = 2.665-17.074; P < 0.001) and CBV_PCA-MCA (OR = 1.567; 95% CI = 1.021-2.406; P = 0.040) were independently associated with PCA stenosis. TTP_PCA showed the highest receiver operating characteristic curve area in discriminating for PCA stenosis (0.895; 95% CI = 0.803-0.986). Conclusion: nTTP can be used to effectively diagnose PCA stenosis. Therefore, DSC perfusion MRI may be a valuable tool for monitoring PCA stenosis in patients with MMD.

• Tuberculosis and Respiratory Diseases
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• v.43 no.4
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• pp.491-499
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• 1996

Background : Pleural effusion is a common disease in clinical practice but its effect on pulmonary function and altered pulmonary mechanics after removal of effusion are not still largely understood. Previous studies have shown that there is little or a relatively small improvement in pulmonary function and arterial blood oxygenation after therapeutic thoracentesis. The present study was designed to assess the effect on pulmonary function of pleural effusion and to test whether there was a significant improvement in pulmonary function and arterial oxygenation after thoracentesis and to observe long tenn effect after thoracentesis. Method : We examined flow-volume curve, body box and arterial blood gas analysis according to severity of effusion, present symptom, and symptom duration. Then, we measured changes of pulmonary function after thoracentesis and observed longterm effect after thoracentesis. Result: 1) Pleural effusion cause restrictive pulmonary insufficiency. Not only functional impairment of small airway but also large airway is provoked. 2) MMFR, FEV1, Raw, POz are earlier improved than FVC and TLC after thoracentesis and patients without complication have mild restrictive pulmonary insufficiency after longterm observation. 3) FVC, FEV1, & TLC are similarly restricted as severity of pleural effusion and po, is relatively decreased. 4) Cases with symptom duration 1 week or less and cases with dyspnea have more severe pulmonary insufficiency than others. 5) The flow volume curves show a relatively greater improvement in flow rates at large lung volumes than small airway. 6) Significant relationship is shown between first thoracentesis amount and changes of FEV1, FVC, TLC. Conclusion: Pleural effusion cause restrictive pulmonary insufficiency and not only functional impairment of small airway impairment but also large airway is provoked. Then, Pulmonary function is progressively improved after thoracentesis and remained mild restrictive pulmonary insufficiency after recovery.

• Geotechnical Engineering
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• v.2 no.1
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• pp.27-44
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• 1986

The measured soil data are analyzed to the descriptive statistics and classified into the four models of uncorrelated-normal (UNNO), uncorrelated-nonnormal (VNNN), correlatedonnormal(CONN), and correlated-nonnormal(CONN) . This paper presents the comparisons of reliability index and check points using the advanced first-order second-moment method with respect to the four models as well as BASIC Program. A sin91e-mode Performance function is consisted of the basic design variables of bearing capacity and settlements on shallow foundations and input the above analyzed soil informations. The main conclusions obtained in this study are summarized as follows: 1. In the bearing capacity mode, cohesion and bearing-capacity factors by C-U test are accepted for normal and lognormal distribution, respectively, and negatively low correlated to each other. Since the reliability index of the CONN model is the lowest one of the four model, which could be recommended a reliability.based design, whereas the other model might overestimate the geotechnical conditions. 2. In the case of settlements mode, the virgin compression ratio and preccnsolidation pressure are fitted for normal and lognormal distribution, respectively. Constraining settlements to the lower ones computed by deterministic method, The CONN model is the lowest reliability of the four models.

• Journal of Korea Water Resources Association
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• v.54 no.6
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• pp.419-431
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• 2021

In Seoul, it has been confirmed that the duration of rainfall is shortened and the frequency and intensity of heavy rains are increasing with a changing climate. In addition, due to high population density and urbanization in most areas, floods frequently occur in flood-prone areas for the increase in impermeable areas. Furthermore, the Seoul City is pursuing various projects such as structural and non-structural measures to resolve flood-prone areas. A disaster prevention performance target was set in consideration of the climate change impact of future precipitation, and this study conducted to reduce the overall flood damage in Seoul for the long-term. In this study, 29 GCMs with RCP4.5 and RCP8.5 scenarios were used for spatial and temporal disaggregation, and we also considered for 3 research periods, which is short-term (2006-2040, P1), mid-term (2041-2070, P2), and long-term (2071-2100, P3), respectively. For spatial downscaling, daily data of GCM was processed through Quantile Mapping based on the rainfall of the Seoul station managed by the Korea Meteorological Administration and for temporal downscaling, daily data were downscaled to hourly data through k-nearest neighbor resampling and nonparametric temporal detailing techniques using genetic algorithms. Through temporal downscaling, 100 detailed scenarios were calculated for each GCM scenario, and the IDF curve was calculated based on a total of 2,900 detailed scenarios, and by averaging this, the change in the future extreme rainfall was calculated. As a result, it was confirmed that the probability of rainfall for a duration of 100 years and a duration of 1 hour increased by 8 to 16% in the RCP4.5 scenario, and increased by 7 to 26% in the RCP8.5 scenario. Based on the results of this study, the amount of rainfall designed to prepare for future climate change in Seoul was estimated and if can be used to establish purpose-wise water related disaster prevention policies.

• Journal of Korean Society of Environmental Engineers
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• v.38 no.2
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• pp.47-55
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• 2016

In this study, WUA (Weighted Usable Area) based on the Instream Flow Incremental Methodology (IFIM) was calculated to determine ecological flow at JeonJu-Cheon by using River2D model. To calibrate River2D, simulation results for low flow conditions of River2D were compared with calibrated HEC-RAS simulation results and the optimum parameters were determined. The results were RMSE (0.18), NSE (0.71) and coefficient of determination (0.78) for velocity and RMSE (0.02), NSE (0.71), coefficient of determination (0.73) for water depth. The result shows that the model successfully simulates the water flows. A selected target fish species to build the habitat suitability index were composed of Zaccoplatypus and Coreoleuciscus splendidus. These species showed the highest occurrences over the past decade in f ish monitoring. Also, The WUA-Discharge curve was calculated with the suitability index in a medium flow conditions. From the result, WUA is changed according to flowrate. In the flowrate-WUA/A graph, ecological flow can be determined at $1.8{\sim}2.0m^3/s$ for Zaccoplatypus $2.0m^3/s$ and Coreoleuciscus splendidus $1.8m^3/s$ at JeonJu-Cheon upstream. When compared with flow-duration analysis, it is demonstrative that simulation results fitted ecological flow considering quantity of available habitat for each fish species.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.25 no.2
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• pp.65-72
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• 2014

Objectives : The objective of this study was to evaluate the treatment duration and adherence of osmotic-controlled release oral delivery system (OROS) methylphenidate for treatment of attention-deficit hyperactivity disorder (ADHD). Methods : A total of 843 children with ADHD were recruited : 213 children (25.3%) who had previously taken medications for ADHD and 630 drug-na$\ddot{i}$ve children (74.7%) were recruited. The dosage was adjusted according to the clinician's judgment. The primary efficacy endpoint of this study was treatment retention rate, which was estimated at Week 12 and Week 20 using the Kaplan-Meier curve. The Swanson, Nolan and Pelham-IV (SNAP-IV), Clinical Global Impression-Severity (CGI-S), Clinical Global Impression-Improvement, and the side effect rating scale were measured at every visit. Remission rates were presented based on SNAP-IV and CGI-S, respectively. Results : The treatment retention rate at 12 weeks and at 20 weeks was 76.2% and 66.8%, respectively. Divided according to 6-8, 9-11, 12-14 and 15-18 years of age, younger children tended to show a statistically higher treatment retention rate (p=.02). Based on SNAP-IV and CGI scores, children with better response to medication showed tendencies of statistically higher treatment retention rate. The most common adverse events included loss of appetite (7.1%) and insomnia (3.3%). There was no serious adverse event related to the treatment, such as death. Conclusion : The use of OROS methylphenidate for treatment of ADHD was safe and tolerable for children. In this study, lower age and better treatment response showed a statistically significant relationship with higher treatment adherence. Boys showed a trend of high treatment adherence. The treatment adherence at 20 weeks was satisfactory, however, the treatment adherence after 20 weeks showed a sharp decrease. Therefore, treatment persistence for six months after the beginning of ADHD treatment is important. In addition, the positive role of psycho-education for children and parents is necessary for increasing treatment adherence.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.4 no.1
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• pp.103-112
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• 1984

This study is an effort to develop a series of empirical procedure for the determination of design flood for a small watershed based on the unit hydrograph theory. It is shown that a flood discharge of a watershed with a specific return period can be expressed as a product of its watershed area, rainfall factor, runoff factor and flood peak reduction factor. Since the procedures for the determination of rainfall factor and runoff factor were already developed in the previous study (13) a series of step-by-step procedure is devised to empirically determine the flood peak reduction factor in the present study. Using the methodology developed herein the 50-year design flood, which is of concern in the drainage of agricultural lands, is estimated for a watershed on upper Kyungan River and compared with the design floods by the existing methods now in use. The flood peak reduction factor was correlated with the dimensionless parameter consisted of the rainfall duration divided by the basin lag time, which was computed from the derived unit hydrographs by the method of moment. The unit hydrographs of various durations were synthesized by the method of build up and S-curve. A multiple correlation was also made between the basin lag time and the physiographic parameters of the watershed, i.e., the stream length and the average stream slope.